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Publication : eEF2K inhibition blocks Aβ42 neurotoxicity by promoting an NRF2 antioxidant response.

First Author  Jan A Year  2017
Journal  Acta Neuropathol Volume  133
Issue  1 Pages  101-119
PubMed ID  27752775 Mgi Jnum  J:311368
Mgi Id  MGI:6754515 Doi  10.1007/s00401-016-1634-1
Citation  Jan A, et al. (2017) eEF2K inhibition blocks Abeta42 neurotoxicity by promoting an NRF2 antioxidant response. Acta Neuropathol 133(1):101-119
abstractText  Soluble oligomers of amyloid-beta (Abeta) impair synaptic plasticity, perturb neuronal energy homeostasis, and are implicated in Alzheimer's disease (AD) pathogenesis. Therefore, significant efforts in AD drug discovery research aim to prevent the formation of Abeta oligomers or block their neurotoxicity. The eukaryotic elongation factor-2 kinase (eEF2K) plays a critical role in synaptic plasticity, and couples neurotransmission to local dendritic mRNA translation. Recent evidence indicates that Abeta oligomers activate neuronal eEF2K, suggesting a potential link to Abeta induced synaptic dysfunction. However, a detailed understanding of the role of eEF2K in AD pathogenesis, and therapeutic potential of eEF2K inhibition in AD, remain to be determined. Here, we show that eEF2K activity is increased in postmortem AD patient cortex and hippocampus, and in the hippocampus of aged transgenic AD mice. Furthermore, eEF2K inhibition using pharmacological or genetic approaches prevented the toxic effects of Abeta42 oligomers on neuronal viability and dendrite formation in vitro. We also report that eEF2K inhibition promotes the nuclear factor erythroid 2-related factor (NRF2) antioxidant response in neuronal cells, which was crucial for the beneficial effects of eEF2K inhibition in neurons exposed to Abeta42 oligomers. Accordingly, NRF2 knockdown or overexpression of the NRF2 inhibitor, Kelch-Like ECH-Associated Protein-1 (Keap1), significantly attenuated the neuroprotection associated with eEF2K inhibition. Finally, genetic deletion of the eEF2K ortholog efk-1 reduced oxidative stress, and improved chemotaxis and serotonin sensitivity in C. elegans expressing human Abeta42 in neurons. Taken together, these findings highlight the potential utility of eEF2K inhibition to reduce Abeta-mediated oxidative stress in AD.
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